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Academic literature on the topic 'Monopolar transurethral resection of prostate (M-TURP)'
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Journal articles on the topic "Monopolar transurethral resection of prostate (M-TURP)"
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Islam, Mohammad Hasibul, N. I. Bhuiyan, Mohammad Salahuddin Faruque, Md Selim Morshed, Md Masud Rana, and Ashraful Islam. "Transurethral Resection of Prostate using Bipolar System: A Comparison with Monopolar System." Bangladesh Journal of Urology 27, no. 1 (2025): 23–32. https://doi.org/10.3329/bju.v27i1.71206.
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Background: Benign Enlargement of the Prostate (BEP), common in ageing males, leads to lower urinary tract symptoms (LUTS) due to BEP-related obstruction (BPO). Monopolar Transurethral Resection of the Prostate (M-TURP) is the traditional "gold standard" surgical approach, but it has drawbacks like fluid absorption-related complications. Bipolar Transurethral Resection of the Prostate (B-TURP) emerged as an alternative with advantages, including lower sodium drop and reduced TUR syndrome risk. However, debates persist regarding haemoglobin drop, sodium change, and resection rate differences. This study compares M-TURP and B-TURP, evaluating efficacy through resection rate, postoperative parameters, and safety by monitoring serum sodium, haemoglobin, TUR syndrome, catheterization time, and hospital stay. Aim of the study: The study aimed to evaluate the safety and efficacy of the bipolar with monopolar technique for the endoscopic resection of the prostate. Methods: This is a one-year Randomized Control Trial (RCT) conducted at Square Hospitals Ltd in Dhaka, from December 2020 to November 2021. The study involved 60 patients with BEP who underwent either Monopolar or Bipolar Transurethral Resection of the Prostate (TURP). Group A (control) underwent Monopolar TURP, while Group B (experimental) underwent Bipolar TURP. Inclusion criteria included age ≥ 50 and symptomatic BEP with surgical indications. Data was collected, and results were analyzed using statistical software. Parameters such as serum haemoglobin, serum sodium, resection rate, catheterization & hospitalization time, maximum flow rate, and complications were compared, with statistical significance set at P ≤ 0.05. Result: The study compared outcomes of monopolar transurethral resection of the prostate (M-TURP) and bipolar transurethral resection ot the prostate (B-TURP). Baseline variables showed no significant differences between groups. Intraoperatively, resected prostate volume was similar, but B-TURP had a slightly faster resection rate, but not significant. Postoperatively, M-TURP exhibited higher decreases in serum haemoglobin and sodium levels. Clot retention incidence was 10% in M-TURP and 0% in B-TURP, though statistically insignificant. Catheterization and hospital stays were shorter in B-TURP. A six-week follow-up revealed no significant inter-group differences in IPSS and maximum flow rate improvement. Conclusion: Comparing the findings of the present study, it can be concluded that bipolar transurethral resection is safer than monopolar transurethral resection and has similar efficacy in managing benign enlargement of the prostate. Bangladesh J. Urol. 2024; 27(1): 23-32
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IMRAN, M., MA SHEIKH, A. ALEEM, M. RASOOL, SU REHMAN, and MA IMRAN. "COMPARISON OF THE OUTCOME OF MONOPOLAR VERSUS BIPOLAR DIATHERMY USE DURING TRANSURETHRAL RESECTION OF PROSTATE." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 946. http://dx.doi.org/10.54112/bcsrj.v2024i1.946.
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Monopolar transurethral resection of the prostate (M-TURP) remains a widely used surgical modality for treating benign prostatic hyperplasia (BPH). However, bipolar TURP (B-TURP), which uses isotonic saline as an irrigant, may reduce the risk of dilutional hyponatremia and transurethral resection (TUR) syndrome associated with M-TURP. Objective: To compare the outcomes of bipolar versus monopolar diathermy during transurethral resection of the prostate. Methods: This randomized controlled trial was conducted at the Department of Urology & Renal Transplantation, Bahawal Victoria Hospital, Bahawalpur, from March 1, 2022, to May 31, 2023. The study included 100 patients, aged 55 to 85 years, scheduled for transurethral resection of the prostate due to BPH. Exclusion criteria were prostatic carcinoma, previous prostate surgery, cirrhosis, chronic renal failure, and bleeding disorders. Patients were randomized into Group A (M-TURP with 5% dextrose water as irrigant) and Group B (B-TURP with normal saline as irrigant). Outcomes, including changes in serum sodium levels, hemoglobin levels, and incidence of TUR syndrome, were assessed 12 hours postoperatively. Statistical analysis was performed using appropriate methods to compare the two groups. Results: The mean drop in hemoglobin (g/dL) was significantly more significant in the bipolar group (51.71 ± 7.28) compared to the monopolar group (47.86 ± 8.26) (p = 0.0001). The mean decrease in serum sodium levels (mEq/L) was significantly less in the monopolar group (143.57 ± 13.85) compared to the bipolar group (75.51 ± 7.98) (p = 0.0001). TUR syndrome occurred in 2 (4.0%) patients in the M-TURP group, whereas no cases were reported in the B-TURP group (p = 0.153). Conclusion: Bipolar transurethral resection of the prostate is associated with a smaller drop in hemoglobin, a lesser decrease in serum sodium levels, and a lower incidence of TUR syndrome than monopolar transurethral resection.
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Rathee, V., Y. Ramole, and M. Koshariya. "Monopolar versus Bipolar Transuretheral Resection of Prostate in Terms of Surgical Outcomes and Efficacy." International Journal of Pharmaceutical and Clinical Research 14, no. 10 (2022): 45–51. https://doi.org/10.5281/zenodo.13285665.
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<strong>Background</strong><strong>:</strong> Endoscopic procedures like Trans urethral resection of prostate are scarless surgeries for benign prostatic hyperplasia, and unlike any other surgery, it has its ups and downs. Monopolar-TURP has been the standard of treatment for BPH but over time there has been a shift towards Bipolar-TURP. <strong>Methods: </strong>The present study is undertaken to study and compare postoperative outcomes after monopolar and bipolar transurethral prostate resection. An ambispectrive observational study was conducted on 68 patients who underwent transurethral resection of prostate From October 2017 to November 2021. Patients were placed in either M-TURP group (n=34) or B-TURP group (n=34), on the basis of surgical unit performing the procedure. Patients were followed for a period of three months after surgery and its outcomes (complications: hematuria, dysuria, incontinence, retrograde ejaculation and erectile dysfunction) were assessed and compared using Statistical Package for the Social Sciences (SPSS) v 20.0 (IBM Corp.) and Medcalc 19.5. <strong>Results</strong><strong>: </strong>The age distribution shows the predominant age group to be of 71-75 years in both groups i.e. M-TURP (32.4%) and B-TURP (32.4%) respectively patients were comparable with age, prostate size and IPSS score and other complications. The mean hospital stay days was varied from 4.29±1.54 to 3.64±0.73 for Monopolar and Bipolar group respectively. <strong>Conclusion</strong>s<strong>: </strong>Our study indicates that Bipolar and Monopolar Transurethral Resection of Prostate are comparable in terms of surgical outcomes and post operative complications. Bipolar TURP with better outcomes is the procedure of choice for benign prostatic hyperplasia.
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Patel, Prashant, and Krunal Patel. "Comparative Analysis between Monopolar and Bipolar TURP - A Single Institute Prospective Controlled Study." International Journal of Research and Review 8, no. 3 (2021): 1–4. http://dx.doi.org/10.52403/ijrr.20210301.
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Background: The ‘gold standard’ surgical treatment of clinically obstructive BPH is TURP, but life-threatening complications such as transurethral resection syndrome are occasionally observed. This has traditionally been provided as monopolar TURP, but morbidity associated with MTURP has led to the introduction of other surgical techniques. Objectives: To compare the effects of bipolar and monopolar TURP. Methods: In this prospective comparative study, 50 patients of each group undergo transurethral resection of prostate were enrolled and randomized to surgery by M‑TURP or B-TURP. International Prostate Symptom Score (IPSS), uroflowmetry, ultrasonography, prevoid, postvoid and international prostate symptom score (IPSS), maximum urinary flow rate (Qmax), postvoid residual urine (PVRU) volume, and prostate volume (PV). Complications and sequelae also assessed. Comparisons performed. Results:No significant differences found in baseline characteristics or operative data, No differences found in IPSS, Qmax or PVRU volume. Conclusions:Based on this controlled trial, there is not significant variation in effectiveness and safety between M-TURP and Bipolar -TURP for the treatment of BPH. Accordingly, M-TURP continues to be a valid option for the treatment of BPE. Keywords: Transurethral resection of prostate, Monopolar, Bipolar.
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Maurya, Rajesh Kumar, Vinay Kumar, and Kumar Vineet. "Bipolar TURP decreases post-operative morbidity – A prospective study in a tertiary care hospital from north India." Asian Journal of Medical Sciences 12, no. 8 (2021): 60–64. http://dx.doi.org/10.3126/ajms.v12i8.37263.
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Background: Transurethral resection of prostate is considered as gold standard surgical procedure for treatment of benign enlargement of prostate. It can be performed in two forms- monopolar transurethral resection and bipolar transurethral resection.
 Aims and Objective: This study was conducted to know which energy source among monopolar and bipolar energy leads to more post-operative morbidity after performing transurethral resection of prostate.
 Materials and Methods: In this study, total eighty (80) cases were included. They were suffering from lower urinary tract symptoms which were diagnosed to be due to benign enlargement of prostate after careful clinical and radiological examination. In forty cases, transurethral resection of prostate was performed by using monopolar energy source and in another forty cases, resection of prostate by transurethral route was done using bipolar energy source.
 Results: In our study, we found that development of TURP syndrome was more in monopolar TURP group in which pre-operative weight of prostate was more than 50 grams in comparison to bipolar TURP group in which there was no incidence of development of TURP syndrome in same class. Further, post-operative hospital stay and post-operative urethral catheter in situ was less in bipolar TURP group in terms of days as compared to monopolar TURP group.
 Conclusion: Our study concludes that Bipolar TURP is better in terms of development of less post-operative morbidity as compared to monopolar TURP. Bipolar TURP must be used extensively in teaching hospitals where students take more time than a seasoned surgeon to perform a surgical procedure and bipolar TURP will come handy in that situation.
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Ismael, Rebaz Hamza, Pishtewan Hashim Al Bazzaz, Dazvan Nazir Zeebari, and Ashraf Fikrat Hassan. "Bipolar versus monopolar transurethral resection of the prostate (TURP): A prospective study of two urology centers." Advanced Medical Journal 5, no. 2 (2019): 79–83. http://dx.doi.org/10.56056/amj.2019.105.
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Background and objectives:Recently, using of bipolar transurethral resection of the prostate has challenged the for- mal monopolar transurethral resection of the prostate. The aim of this study was to evaluate the efficacy and safety of bipolar transurethral resection of prostate versus monopolar transurethral resection of prostate in the treatment of prostate enlargement. Methods: From September 2018 to April 2019, appropriate sample of 44 patients with symp- tomatic benign prostate hyperplasia randomly assigned to two groups, first group (n=21) operated on by monopolar transurethral resection of prostate, second group (n=23) operated on by bipolar transurethral resection of prostate in Rizgary Teaching Hospital and Zheen International Hospital, all patients were fully assessed preoperatively and postop- eratively by serum electrolyte, hemoglobin, operative time. Results: Mean resection time was 56.7 ± 5.8 minutes (mo- nopolar) and 63.1 ± 4.7 minutes (bipolar). The mean volume of irrigant was 17.6±1.6 liter (monopolar) and 20.4±1.8 liter (bipolar). The monopolar group showed a greater decrease in serum Sodium (5.7mEq/L) in contrast to the bipolar group (1.4 mEq/L), a statistically significant difference was detected. The monopolar group showed a statistically significant decrease in Hb (2.5 gm/dl) in contrast to the bipolar group (0.4 gm /dl). Conclusions: T he study showed that bipolar transurethral resection of prostate was superior to monopolar transurethral resection of the prostate with regards to less reduction in serum Sodium level and less decline in hemoglobin level as well as less hospital stay and catheterization days.
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Thapa, Niraj, Ganesh Bhakta Acharya, Abhishek Poudel, Ananda Neupane, and Sushil Mishra. "Bipolar versus Monopolar Transurethral Resection of Prostate in Treatment of Benign Prostatic Enlargement." Birat Journal of Health Sciences 6, no. 3 (2021): 1647–51. http://dx.doi.org/10.3126/bjhs.v6i3.43215.
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Introduction: Bipolar transurethral resection (B-TURP) is an effective modality for surgery of Benign Prostatic Obstruction, and has been widely studied for its efficacy and safety against the well-established method; Monopolar Transurethral resection (M-TURP). Objectives: The study aimed to assess the feasibility of B-TURP over M-TURP in terms of hospital stay, resection time, resected tissue volume, changes in hemoglobin and sodium, blood transfusion required, complications like TUR syndrome, clot retention and hemorrhagic episodes. Methodology: An analytical study was done in cases who underwent TURP from August 2018 to August 2020. Parameters like hospital stay, resection time, resected tissue volume, changes in hemoglobin and sodium, blood transfusion required, complications like TUR syndrome, clot retention and hemorrhagic episodes were compared in between B-TURP and M-TURP. Statistical analysis was done using SPSS 22.0 software. Results: Seventy-three patients were compared in this study; 33 had undergone B-TURP and 40 patients had undergone M-TURP. Total hospital stay was slightly lesser in B-TURP. The post-operative Hb in M-TURP was significantly lesser than B-TURP (11.10±1.321 vs 12.24±1.225, P<0.001). Although the drop in hemoglobin was statistically significant in both the groups, the hemoglobin drop was slightly lesser in B-TURP. The mean difference in pre and post-operative hemoglobin was 1.148 in M-TURP and 0.181 in B-TURP. TUR syndrome was significantly higher in M-TURP (6,8.2% vs 0, 0%; P=0.029). There was no significant difference in between resection time, post-operative sodium, post-operative hemorrhagic episodes, clot retention and blood transfusions. Conclusion: Bipolar TURP is safe and effective for transurethral resection of prostate with relative shorter hospital stay, lesser bleeding and TUR syndrome in comparison to Monopolar TURP.
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Regmi, Prabodh, and Robin Bahadur Basnet. "Outcome of Monopolar versus Bipolar Transurethral Resection of Prostate." Journal of KIST Medical College 6, no. 11 (2024): 20–25. http://dx.doi.org/10.61122/jkistmc279.
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Introduction: Transurethral resection of the prostate is the gold standard surgical treatment for benign prostatic hyperplasia with the lower urinary tract symptoms. Bipolar system is a new in technology to lower the adverse effects of monopolar system. This study was designed to find out clinic-demographic data and peri-operative outcomes of the monopolar versus bipolar transurethral resection of prostate. Methods: This prospective comparative study was conducted from June 2022 to March 2023, in the Department of Urology of Bir Hospital, National Academy of Medical Sciences, Nepal. Ethical approval of research was taken from Institutional Review Board, NAMS: Ref No. 735/2079/80. Microsoft Excel was used for descriptive analysis for clinic-demographic and outcome variable data, were presented in frequencies and percentages and their relation were analyzed by chi-square test/fisher’s exact test. A p-value of <0.05 statistically significant. Result: A total 80 patients were compared, bipolar(40 cases) and monopolar(40 cases). There were no differences in the incidence of hyponatremia, clot retention and evacuation rate, re-catheterization rate, mean hemoglobin loss, and mean length of hospital stay. The longer duration of operation time (>60 min) was observed in bipolar transurethral resection ( p=0.001). The transurethral resection syndrome was found only in M-TURP. Conclusion: Both monopolar and bipolar transurethral resection of prostate showed no statistical differences in the amount of resected prostatic tissue, the incidence of hyponatremia, length of hospital stays, blood transfusion rate, re-catheterization rate, clot retention and evacuation rate. The shorter duration of surgery and the trans-urethral resection syndrome was observed in M-TURP.
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Panigrahi, Sucheta, Acharya Suryakanta Pattajoshi, Sanjay Kumar Mahapatra, Raja Kumar Subudhi P, and Biswajit Sahu. "Monopolar vs. Bipolar Trans Urethral Resection of Prostrate (TURP) - A Comparative Outcome Analysis in Benign Prostatic Hyperplasia - A Single Centre Experience in Western Odisha." Journal of Evidence Based Medicine and Healthcare 8, no. 31 (2021): 2875–79. http://dx.doi.org/10.18410/jebmh/2021/525.
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BACKGROUND In this study we wanted to compare the clinical outcomes in terms of symptom improvement and perioperative results of monopolar and bipolar trans urethral resection of prostrate (TURP) for benign prostatic hyperplasia (BPH) and evaluate the advantages of bipolar transurethral resection over the monopolar resection. METHODS A total of 150 patients who underwent trans urethral resection of prostate (TURP) surgical procedure, (n = 75 for monopolar TURP) and (n = 75 for bipolar TURP) for BPH enrolled between December 2018 to November 2020 at the Department of Urology in VSSIMSAR, Burla, Odisha. RESULTS Significant differences were found in operating time in minutes (45.11 ± 4.029 vs 41.99 ± 5.020, P < 0.025) between monopolar and bipolar TURP. The mean sodium falls in post-operative period in bipolar and monopolar TURP was 7 Meq and 3 Meq respectively which was statistically significant (P - value less than 0.05). Bipolar TURP is equally effective as monopolar in reducing the international prostate symptom score (IPSS), improvement in quality of life, maximum urinary flow rate. Trans urethral resection (TUR) syndrome was reported in two patients who had undergone monopolar resection without any incidence in bipolar group. 3 patients in monopolar group developed clot retention compared to 1 in bipolar group in post-operative period. Fall in haemoglobin (Hb) and packed cell volume (PCV) was more with monopolar group but insignificant. CONCLUSIONS Bipolar TURP is safe and equally effective as monopolar TURP with advantage of shorter operative time and absence of dilutional hyponatremia and TUR syndrome, but needs large randomized trials with long follow up to confirm its efficacy and safety. KEYWORDS Monopolar TURP; Bipolar TURP; Benign Prostate Hyperplasia
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Islam, MS, SM Waheed, MA Rakib, A. Chowdhury, and MN Amin. "A Comparative Study Between Standard Monopolar Versus Bipolar Saline Turp: Our Experience in Armed Forces Hospital." Bangladesh Journal of Urology 21, no. 2 (2020): 66–70. http://dx.doi.org/10.3329/bju.v21i2.49858.
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Objective: To-evaluate the outcome of bipolar Versus conventional monopolar transurethral resection of the prostate (TURP) on urinary function.
 Material and Methods: A total of 300 patients with benign prostatic hyperplasia (BPH) were randomized to bipolar or monopolar conventional TURP treatment groups. Operative and early postoperative variables and complications were recorded and all patients were re-evaluated at 1, 3, 6 and 12 months after surgery using the International Prostate Symptom Score (IPSS), uroflowmetry, post-void residual urine volume (PVR).
 Results: The operating time was shorter in the monopolar TURP group. Postoperative bleeding and blood transfusion requirements did not significantly differ between the two groups. Sodium levels were significantly lower in the monopolar group than in the bipolar group. Transuretheral resection syndrome developed in two (1.4%) patients in the monopolar group. Both groups had similar and significantly improved IPSS values, maximum urinary flow rate values and PVRmeasurement.
 Conclusion: Bipolar TURP is a safe and effective procedure that is associated with a relatively longer operating time, a smaller reduction in serum sodium levels and a similar efficacy compared with conventional monopolar TURP.
 Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p 66-70
Book chapters on the topic "Monopolar transurethral resection of prostate (M-TURP)"
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Branch, Jeffrey D., Grace B. Delos Santos, and Bethany A. Kearns. "Monopolar TURP." In Treatment of Benign Prostatic Hyperplasia: Modern Alternative to Transurethral Resection of the Prostate. Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-1587-3_3.
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